18 audit specialist jobs found in Springfield

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Client Audit Specialist - Remote Job Description As a member of the Client Audit Management (CAM) team, the Client Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or client-initiated audits. The Specialist is responsible for evaluating and understanding the purpose of various audit types and the related deliverables, developing a holistic understanding of the audit management process, and managing the end-to-end audit activities. This position seeks and obtains additional expertise as indicated from respective Compliance and Operational subject matter experts to meet applicable regulatory, client, and/or functional audit expectations....

Senior Risk Associate (Work from Home) Capital One, a Fortune 500 company and one of the nation's top 10 banks, offers a broad spectrum of financial products and services to consumers, small businesses and commercial clients. Our mission is to create one of the nation's great banks, and we have the necessary ingredients: a strong balance sheet, resilient businesses, a massive customer franchise, strong analytical capabilities, and great people. We nurture a work environment where people with a variety of thoughts, ideas and backgrounds, guided by our shared Values, come together to make Capital One a great company - and a great place to work. As a Senior Associate Quality Assurance Specialist at Capital One, you will be part of a smart, talented team responsible for partnering with Lines of Business across the Capital One footprint to ensure compliance with the Travel Rule. The qualified candidate will be responsible for sampling wire transactions across multiple...

We continually strive for a workforce that reflects the growing diversity within the State of Illinois. A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our ability to most effectively serve the public. Bilingual skills welcome Reasonable Accommodation Statement The State of Illinois is committed to working with and providing reasonable accommodations to people with disabilities. Further, federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job, interview for a job, or for any other activity related to the hiring process. Examples of reasonable accommodation include, but are not limited to, making a change to the application process (if possible), providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. To be provided a Reasonable Accommodation during the...

Dodge Construction Network (Dodge) is searching for a Director of GTM Systems and Tools to join our team! This is a high-visibility opportunity that will be a critical part of our Revenue Operations team focused on optimizing all tools that support field enablement within in our GTM systems infrastructure. The ideal candidate has a consistent track record of implementing solutions to business problems in Salesforce and integrated solutions throughout our GTM tech stack, working with both internal and external partners. This position reports directly to the VP, Revenue Operations. Preferred Location This is a remote, home-office based position and candidates located in the continental United States will be considered. Travel Requirements Some travel is expected for this role. Essential Functions Oversee, manage, and optimize all systems and tools used by the sales, customer success and support teams Lead a team of systems admins and specialists to...

About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Senior Technical Implementation Lead with deep expertise in Anti-Money Laundering (AML) and Fraud Transaction Monitoring Systems to design, implement, and optimize enterprise-scale monitoring solutions across our U.S. banking operations. This individual will play a key role in delivering technology solutions that strengthen our Client's financial crime detection...

Job Description Oracle's Global Physical Security (GPS) Systems Team is responsible for securing the corporation's global datacenter and facility footprint through advanced Physical Access and Identity Management (PIAM) technologies. We are seeking a seasoned Technical Program Manager (TPM) for Wireless Intrusion Detection Systems (WIDS) who will own the end-to-end lifecycle of enterprise wireless detection, monitoring, and counter-surveillance solutions for a complex and global security environment. Reporting to the Director, Physical Security Products & Services, you will lead the technical roadmap, policies, education, and integrations necessary for WIDS excellence-partnering closely with security operations, engineering, data center operations, and end-user groups. Responsibilities Product & Program Ownership Own the lifecycle management, standards, and feature evolution for all Wireless Intrusion Detection Systems (WIDS), including integration with...

Job Description Oracle Health Data Intelligence (HDI) is entering a critical phase of regulatory and security modernization across our global health analytics and AI-enabled population health platform. As HDI accelerates readiness for MDR (Medical Device Regulation), AI regulatory requirements, and emerging global security standards, we are expanding our Security Architecture team with specialists who bring deep technical expertise, cloud security experience, and strong regulatory awareness. We are hiring Security Architecture Specialists who can design, review, and validate secure architectures across cloud-native healthcare systems, AI/ML pipelines, and distributed data platforms. This role is ideal for someone with experience performing CSSAP-style reviews , cloud security assessments, threat modeling, and providing technical guidance that aligns engineering execution with security and regulatory expectations. You will play a key role in ensuring that HDI's...

Job Description Oracle Health is transforming its development and regulatory processes to meet heightened FDA, MDR, and ISO 14155 standards and address ongoing patient safety, compliance, and product certification needs. As a clinical leader with patient safety and compliance expertise, you will provide organization-wide clinical leadership and strategic oversight, ensuring our product development teams integrate clinical context, manage patient safety risks, and maintain robust compliance across the entire portfolio-legacy and new. This role is essential in modernizing our clinical risk management and regulatory practices in partnership with AI-driven process improvements. Qualifications · Medical degree (MD, DO, or equivalent) required; board certification or clinical specialty training preferred. · Minimum 7 years' experience in clinical leadership roles within medical device, digital health, or regulated healthcare software sectors. · Extensive experience in...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for...

About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Sr. Payroll Specialist to join a leading global services firm headquartered in the Mid-Atlantic region. This fully remote consulting engagement will support U.S. corporate payroll operations, processing high-volume, multi-cycle payrolls for a diverse workforce. The ideal candidate has deep hands-on experience with Workday and ADP and thrives in a fast-paced,...

DESCRIPTION Overview: The Associate is responsible for completing in-store food and non-food demonstrations. Acquires and maintains knowledge of products represented. Prepares, serves, and breaks down product, equipment, and supplies. Intercepts consumers and demonstrates products in a professional manner. Maintains an overall professional appearance consistent with the requirements of the job. Pay Rate $15.00/HR RESPONSIBILITIES Possesses the aptitude and ability to gain adequate knowledge of the products represented. Has desire and ability to proactively intercept, engage, interact, and sell product to the consumer in a positive manner. Effectively communicate the features and benefits of the product. Ability to prepare and serve food samples using small appliances such as microwaves, fryers, skillets, coffee makers and knives. Maintain a clean, sterile and safe work station using cleaning chemicals. Maintains a professional...

1. Be responsible to the Principal of H.S. of Science and Technology. 2. Work with H.S. of Science & Technology's Principal and vocational administration to secure and maintain State Chapter 74 approval for all existing and new technical programs which adhere to the approved criteria within the Chapter 74 Regulations. 3. Work collaboratively with school and district staff, outside organizations, and community representatives. 4. Enforce and monitor federal and state regulations. 5. Work with H.S. of Science & Technology's administration to guide staff which improves academic and technical performance through the implementation of effective practices in vocational/academic integration. 6. Provide support to all technical staff in preparing students for success in the any upcoming standardized vocational competency testing. 7. Ensure that all technical staff develop/use: (1) pacing documents, (2) newly written vocational frameworks lesson plans (3) newly...

Be responsible to the Principal of H.S. of Science and Technology. Work with H.S. of Science & Technology's Principal and vocational administration to secure and maintain State Chapter 74 approval for all existing and new technical programs which adhere to the approved criteria within the Chapter 74 Regulations. Work collaboratively with school and district staff, outside organizations, and community representatives. Enforce and monitor federal and state regulations. Work with H.S. of Science & Technology's administration to guide staff which improves academic and technical performance through the implementation of effective practices in vocational/academic integration. Provide support to all technical staff in preparing students for success in the any upcoming standardized vocational competency testing. Ensure that all technical staff develop/use: (1) pacing documents, (2) newly written vocational frameworks lesson plans (3) newly generated framework...

We continually strive for a workforce that reflects the growing diversity within the State of Illinois. A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our ability to most effectively serve the public. Bilingual skills welcome Reasonable Accommodation Statement The State of Illinois is committed to working with and providing reasonable accommodations to people with disabilities. Further, federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job, interview for a job, or for any other activity related to the hiring process. Examples of reasonable accommodation include, but are not limited to, making a change to the application process (if possible), providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. To be provided a Reasonable Accommodation during...

Workfront Configuration Specialist Anywhere Type: Contract Category: Development Industry: Insurance Workplace Type: Remote Reference ID: JN -122025-104729 Date Posted: 12/14/2025 Shortcut: http://careers.eliassen.com/urDlvy Description Recommended Jobs Description: *Remote | EST work hours * We seek a Senior Workfront and Fusion Consultant to support the implementation of Workfront as an Enterprise Portfolio and Project Management tool.? As the Senior Consultant, you will work closely with our Global team to elicit requirements and design future state processes that are needed to establish an optimized Workfront solution.?This role will also be responsible for end-to-end configuration of a scalable Workfront environment, leveraging Fusion where needed.? This includes object-level structure, user management, reporting and dashboards, and workflow management. The ideal candidate for this role will have a strong...

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. About the Role: The Sr HR Technology Coordinator will be responsible for leading efforts to maintain, support, and optimize our HR technology solutions. This role will lead day to day operations to ensure the system runs smoothly, technical issues are resolved timely, while providing support to COE stakeholders and employees. The Sr HR Technology...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Ethics and Compliance Investigations Operations Specialist - Assistant Director At EY, you'll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture, and technology to become the best version of you. And we're counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. EY focuses on high ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities. The opportunity The Ethics and Compliance Investigations Team (ECIT) is a high-performing, centralized team under Ethics, Compliance, and Risk...